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●#@’J’’%.% ‘<c if s DEPARTMENT OF HEALTH& HUMAN SERVICES Public Health Service Food and Drug Administration Washington, DC 20204 \ President Am-ion, Inc. 6565 Odell Place Boulder, Colorado 80301-3330 Dear Sir: This is in response to your letter of November 5, 1997 to the Food and Drug Administration (FDA) pursuant to section 403(r)(6) of the Federal Food, Drug, and Cosmetic Act (the act). Your submission states that Amrion, Inc. is making the following statements, among others, for the following products: HealthSmart Cranberry “... active compounds in cranberries help your body keep harmfil bacteria from attaching to urinary tract walls.” HealthSmart Acidophilus “High fat, high sugar diets create an ideal environment for “untilendly” bacteria in the gastrointestinal tract. Don’t let these harmful forms of bacteria crowd out the beneficial ones. for [sic] a healthy balance, discover the benefits of HealthSmart Acidophilus.” Sugars and fats can create an ideal environment for ham-did bacteri~ which in turn can crowd out the beneficial ones needed for gastrointestinal health. For a healthy balance, discover the benefits of Acidophilus.” Section 403(r)(6) of the act makes clear that a statement included in labeling under the authority of that section may not claim to diagnose, mitigate, treat, cure, or prevent a specific disease or class of diseases. The statements that you are making for these products suggest that they are intended to treat, prevent, or mitigate disease, in that they are intended to treat, prevent, or mitigate gastrointestinal disease and urinary tract disease caused by pathogenic microorganisms. These claims do not meet the requirements of section 403(r)(6) of the act. These claims suggest that these products are intended for use as drugs withh the meaning of section 201 (g)(l)(B) of the act, and that they are subject to regulation under the drug provisions of the act. If you intend to make claims of this nature, you should contact FDA’s Center for Drug Evaluation and Research (CDER), Office of Compliance, HFD-3 10,7520 Standish Place, Rockville, Maryland 20855. Page 2- President, Amrion, Inc. Your submission also states that you are makkg claims of a relationship between various substances and osteoporosis for the products HealthSmart Daily Essentials, HealthSmart Calcium Carbonate, and HealthSmart Calcium& Magnesium Complex. These statements are not statements of nutritional support subject to section 403(r)(6) of the act, but are health claims subject to section 403(r)(l)(13) of the act. FDA has authorized a health claim on the relationship between calcium and osteoporosis (see 21 CFR 101.72). A dietary supplement that meets the eligibility and message requirements set forth in this regulation may bear a claim for the relationship between calcium and osteoporosis. A health claim on the label or in the labeling of a food or dietary supplement that is not in accordance with the requirements in21 CFR 101.72 would misbrand the food or dietary supplement under section 403(r)(l)(B) of the act. Moreover, ftilure to make a claim in accordance with the requirements in21 CFR 101.72 subjects the product to regulation as a drug under section 201 (g)(l)(B) of the act because the product is intended to treat, cure, prevent, or mitigate a disease, osteoporosis. For the product HealthSmart Daily Essentials, for example, a claim is made that “with extra calcium, magnesium and boron, it supports bone health and helps prevent osteoporosis.” FDA has not authorized a health claim on the relationship between magnesium or boron and osteoporosis. As discussed above, this claim subjects the product to regulation as a drug under section 201 (g)(l)(B) of the act because the product is intended to prevent osteoporosis and the claim is not an authorized health claim under section 403(r)(l )(B) of the act. Please contact us if we may be of further assistance. Sincerely yours, James T. Tanner, Ph.D. Acting Director Division of Programs and Etiorcement Policy Office of Special Nutritional Center for Food Stiety and Applied Nutrition Copies: FDA, Center for Drug Evaluation and Research, Office of Compliance, HFD-300 FDA, Office of the Associate Commissioner for Regulatory Affairs, Office of Enforcement, HFC-200 FDA, Denver District Office, Compliance Branch, HFR-SW240 C5!!Z2 ‘-, * AMRIONw N~,:ember 5, 1997 Office of Special Nutritional (HFS-.t5O) Center for Food Wety and Applied Nutrition Food and Drug Administration 200 c street, Sw Washington, DC 20204 NOTIIZC/4T[ON OF STATEMENTS OF NUTITUTIONAL SUPPORT This Notification is filed pursuant to j403(r)(6) of the Federal Food Drug and Cosmetic Act (FDC Act), 21 L!.S.C $343(r)(6). Mrne of dietary supplement: %mment(s) of nutritional support: HealthSmart Acidophil!?s Good bacteria for ~oui coion -- good health for you. Hi@ fut. high sugar chets create an ideal environment for %tfriettdly” bacteria in the gastrointestinal tract. Don ‘t let these harm,%! forms of bacteria c[owd out the beneficial ones, for a healthy balance. discoic: ti~i: kiiefits of HealthSmart Aciciophihts. For gaskointestinal kahh. S~gars and fats can create an ideal environment for harm!ld bacteria. which in turn can crowd out the. beneficial ones needed for gxtrointestiml ilealt~i. Foi a healthy balance. disco}cr the benefits of .4cidophilus I eerti& that the information contained in this notice is complete and accurate. and that we have substantiation that the statements] is [@re] truthfkl and not misleading. 4N’ AMRION, INC. - ‘ AMRION, INC. 6565 Odell Place, Boulder, Colorado 80301-3330 (303) 530-2525 Fax: (3o3) 530-2592 ● ● ● / -.. November 5, 1997 OtXce of Special Nutritional (HFS+5tl) Center for Food Safety and Applied Nutrition Food and Drug Administration 200 C Street, SW Washington DC 20204 NOTIFICATION OF STATEMENTS OF NUTRITIONAL SUPPORT This Notification is filed pursuan t to $403(r)(6) of the Federal Food Drug and Cosmetic Act (FDC A@. 21 L!.S.C $343(r)(6). Name of dietary supplemem: Statement(s) of nutriiicnisi .w~ft: IkalthSrnart Cranbrmy Natural support for urinmy tract health. Research shows [hat active compounds in cranberries help your My keep harmful bacteria from alidching to urinary troc( Willis, I ccrti@ that the information contained in this notice is cornpletc and accurate, and that we have subst.mwmon statements] is [are] t thfui and not misleading. th:it I!W %VJk Ah!RION. INC. AMRION, INC. ● 6565 Odell Place, Boulder, Colorado 80301-3330 s (303) 530-25.25 ● Fax: (303) 530-2592 . -. November 5, 1997 O!lice of Special Nutritiomls (EIEW50) Center for Food Safety and Applied Nutrition Food and Drug Administration 200 c street, Sw Washington, DC 20204 NOTIFICATION OF STATEMENTS OF NUTRITIONAL SUPPORT This Notification is filed pursuant to $403(r)(6) of the Federal Food Drug and Cosmetic Act @’DC Act).21 U.S.C. $343(r)(6). Name of dietary supplement: Statement(s) of nutrihonaI wpport: IkalthSrnart Calcium Carbonate Fight osteoporosis. * i+~t]it icnaliy suppori bones for strength :md densi~... because. inarkq~ate m]ciurn cm contritwk to wow b~ttle bon= and osteoporosis. *Rc.gular exercise and a healthy diet containing adequate calcium helps women rnaintaia good bone health and may reduce their high risk of o~t~por~sis !a;er in life. Daily intake of calcium above 2,000 mg is not likely 10 pro~ide any ackMicmal berwtit. I cer@ that the information contained in this notice is complete and acc~te, and tit We ~~e ~bs~tiation that the statemen s] is [are] truthful and not misleading. &!ti AIviiUON, INC. AMRION, INC. ● 6565 Odell Place, Boulder, Colorado 80301-3330 ● (303) 530-2525 ● Fax: (3o3) 530-2592 . -. . . . 050 AMRION. November 5, 1997 Ot3ice of Special Nutritional (HFS-150) Center for Food Safety and Applied Nutrition Food and Drug Administration 200 C Street, SW Washington, DC 20204 NOTIFICATION OF STATEMENTS OF NUTRITIONAL SUPPORT This Notification is filed pursuant to &103(r)(6) of the Federal Food Drug and Cosmetic Act (FDC Act), 21 U.S.C tj343(r)(6). Name of dietaq supplement: Statement(s) of nutritional support: HealthSmart Daily Essentials . . specifically tnrgeted for women’s health concerns. With extra calcium, magnesium and ixmm it supports bone health and helps prmcnt osteoporosis. * *Regular exercise and a heahhy diet containing adequate calcium helps women maintain good bone hralth and may reduce their high risk of osteqwosis later in life. Daily intake of calcium above 2,000 mg is not Iikcly to provide any additicma! benefit. A multivitamin formula for women . . this comprehensive multivitamin helps you gaps . . . specifically targeted to women’s health concerns. with extra Calciw magnesium and boron, h SUPPWLS bne h~lth and hebs prevent osteoporosis. fill in the nutritional 1 certify that the information contained in this notice is complete and accurate, and that we have substantiation that the staternent[s] is [are] truthftd and not misleading. NpsA AMRION, INC. AMRION, INC. ● 6565 Odell Place, Boulder, Colorado 80301-3330 “ [303) 530-2525 ● Fax: (303) 530-2592 . . .. November 5, 1997 Office of Special Nutritiomls (KFS-150) Center for Food Safety and Applied Nutrition Food and Drug Administration 200 C Street, SW Washirtgtonj DC 2020$ NOTIFICATION OF STATEMENTS OF NUTRITIONAL SUPPORT This Notification is filed pursuant to $403(r)(6) of the Federal Food Drug and Cosmetic Act (FDC Act). 11 U.S.C $343(r)(6). Name of dietary supplement: Statement(s) of nutritional support: HcalthSmarl Calcium& Magnesium Complex For strong healthy botws.* . . without enough calcium, your bones could bemme weak and brittle. [n addition shdies say thm c.dcium should be taken with magnesium for c.ven greater benefit.. a blend of two imprtant minerals for bone health. *ReguIar exercise and a healthy diet containing adequate calcium helps women maintain good bone health and may reduce their high risk of oweoporosis later in life. ” Daiiy intake of calcium above 2,000 mg is not likely to prm”ide any additiowd benefit. For strong. healthy tines. Nourish strong healthy bones*. Calcium helps prevent osteoporosis and the wealq brittle bones that can result. Magnesium pro~ides powerful overall nourishment for your bones. Together these hvo minerals offer super support for strong, healthy bones in a form that’s easy for your body to absorb. *Regular exercise and a healthy diet containing adequate caJciurn helps women maintain good bone healthy and may reduce their high risk of osteoporosis later in life. Daily intake above 2,000 mg is not likeiy to provide any additioml benefit. I certify that the information contained in this notice is complete and accurate. and that we ha~e substantiation that the statements] is [are] truthful and not misleading. AMRION, INC. ● 6565 Odell Place, Boulder, Colorado 80301-3330. (3o3) 530-2525 ● Fax: (303) 530-2592